Home»Pay In Full Enrollment Form CAPRICE CARTHANS ACADEMY Adult High School Diploma Program – Enrollment Form Please complete all required sections. Submission of this form constitutes a formal request for enrollment and agreement to all academy policies. STUDENT INFORMATIONLegal First Name *Legal Last Name *Preferred Name (if different)Date of Birth *Age (Must be 18 or older) *Phone Number *Email Address *Mailing Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Emergency Contact (Recommended)NamePhone NumberRelationshipELIGIBILITY CONFIRMATIONI confirm that I am 18 years of age or older. *AgreeI understand this is an adult high school diploma program, not a GED program. *AgreeEDUCATIONAL HISTORYHighest Grade Completed: *8th9th10th11th12thNone of the aboveOtherLast School Attended (Optional)NameLocationYear Last AttendedTRANSFER CREDIT REQUEST (Complete only if requesting credit evaluation)I am requesting a transfer credit evaluationI am not requesting transfer creditTranscript Upload (Unofficial Accepted for Review) - Optional Caprice Carthans Academy accepts unofficial transcripts for preliminary evaluation only. Upload Unofficial Transcript(s):Choose FileNo file chosenDelete uploaded file Upload a picture of your Driver’s License or State ID CardChoose FileNo file chosenDelete uploaded fileOfficial Transcript Requirement (Required for Final Credit Award) All official transcripts must be sent directly to the academy by the issuing institution.Official transcripts must be emailed to:📧 transcripts@capricecarthansacademy.comStudents will receive a confirmation email regarding their transfer credit request once documents are received and reviewed.PROGRAM STRUCTURE ACKNOWLEDGMENT (Required acknowledgments)I understand the standard program length is 12 months, unless reduced by approved transfer credits. *AgreeI understand coursework is completed online. *AgreeI understand I am responsible for submitting assignments, participating in coursework, and maintaining academic progress. *AgreeI understand access to the learning system is granted after enrollment is processed. *AgreeI agree to the student handbook *AgreeTUITION & FEES DISCLOSURE(Required acknowledgment)The full payment of $1350 includes all fees for our 12-month program.I understand all fees and tuition amounts as disclosed above. *AgreeI understand there are no hidden fees or interest charges. *AgreeI understand failure to maintain payments may result in suspension or dismissal. *AgreeCANCELLATION & REFUND POLICY (THIS SECTION MUST BE AGREED TO) Enrollment Cancellation & Refund Policy Students may cancel enrollment within 48 hours of submitting this form, provided the cancellation occurs at least five (5) calendar days before the program start date. Cancellations within this 48-hour window may be eligible for a refund, minus any processing fees. After 48 hours, enrollment and registration fees become non-refundable. No refunds will be issued once: Student records are created Learning system access is prepared or granted Instructional planning has begun Or the program has started Late registrations (enrollment within five days of the program start date) are not eligible for refunds under any circumstances.I have read and understand the cancellation and refund policy. *AgreeSTUDENT AGREEMENT & CONSENTI certify that all information provided is true and accurate. *AgreeI agree to comply with all Caprice Carthans Academy policies and academic requirements. *AgreeI understand that submission of this form constitutes a binding enrollment agreement. *AgreeElectronic Signature (Type Full Legal Name): *Date *NEXT STEPS NOTICE After submission: You will receive an enrollment confirmation email Transfer credit requests (if applicable) will be reviewed System access will be prepared Additional onboarding instructions will be sent$1350 Your card will be charged a one-time total of $1350.Credit / Debit Card *I understand and agree that all fees are non-refundable after a 3-business-day conditional refund period including weekends, provided I have not accessed any academic materials or services. I acknowledge that this is a 12-month program, and that pay-in-full tuition is a discounted rate subject to the Academy’s refund and withdrawal policy. *Agree Submit